New Patients Forms
Chiropractic Health Clinic offers our new patient form(s) online for you to complete at the convenience of your own home.
Click to download the necessary form(s) below, print it out and fill in the required information.
Bring completed paperwork with you to your scheduled appointment.
**Please note: If you are unable to download or print your new patient packet please arrive 15 minutes prior to your scheduled appointment time to complete forms.
Patient Information & Health History Form
Let us get to know you! The Patient Information and Health History Form gives us information about you and the history and current state of your health so that we can assist you in the best way possible.